NPI | 1295554665 |
---|---|
Former Name | JAYNE R STEINBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC23329) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61583224) |
Enumeration Date | 2024-10-03 |
Last Update Date | 2025-07-08 |